Orbital Fat Pad for Nasal Tip Augmentation in Far Eastern Rhinoplasty

Chapter

Abstract

Although a variety of alloplastic materials are available and have been used for nasal augmentation, silicone implant has been chosen in Asian rhinoplasty as alloplastic implant most frequently because of its nontoxicity, chemical stability, nonimmunogenicity, simplicity of use, excellent biocompatibility, and comparatively low product price. When the patient’s nasal tip skin is thin and/or the columellar portion of the implant is too pronounced, application of L-shaped implant to nasal augmentation may lead to unnatural look and, in some cases, serious complication of extrusion. To overcome this obstacle, the author developed a simple technique of using the orbital fat pad instead of the auricular cartilage as a cushion between the silicone implant and the overlying nasal tip skin. Additionally, the orbital fat graft can be applied to augmentation of a deep radix, camouflage of minor contour irregularities, and smoothness of the dorsal contour when in combination with silicone implant. The author describes the technique.

Keywords

Nasal Dorsum Alloplastic Material Auricular Cartilage Lower Lateral Cartilage Orbital Septum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.5050 ClinicWonmigu, BucheonSouth Korea

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